腹腔镜手术治疗急性阑尾炎96例疗效观察  

Clinical Observation of 96 Cases Laparoscopic Appendectomy for Acute Appendicitis

作　　者：包福德 王继文 江友 

机构地区：[1]深圳市石岩人民医院,广东深圳518108

出　　处：《中外医学研究》2012年第13期15-16,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析比较腹腔镜手术(LA)与传统开腹手术(OA)治疗急性阑尾炎的疗效。方法:186例急性阑尾炎患者,根据手术方式不同分为两组,观察组96例采用LA治疗,对照组90例采用OA治疗,比较两种手术方法在手术时间、术中出血量、术后肛门排气时间、住院时间、住院综合费用及手术结果的差异。结果:观察组的术中出血量、术后肛门排气时间和住院时间明显少于于对照组,住院综合费用则明显高于对照组,差异均有统计学意义(P<0.01);观察组术后镇痛药使用、肠梗阻及切口感染例数明显低于对照组,差异均有统计学意义(P<0.05或0.01)。结论:腹腔镜治疗急性阑尾炎的疗效明显优于开腹手术。Objective：To explore a reasonable treatment for acute appendicitis by comparison of laparoscopic appendectomy（LA） and operation appendectomy（OA）.Methods：186 acute appendicitis patients in our department were retrospectively analyzed,186 cases were divided into two groups according to the operation method,96 cases in observation group were treated with LA and 90 cases in control group were treated with OA.To compare the two groups in terms of the operation time,the intraoperative blood loss,bowel exhaust time,postoperative hospital length of stay,the cost of hospitalizing and operation result.Results：The intraoperative blood loss,bowel exhaust time,postoperative hospital length of stay of the observation group were significantly lower than the control group（P0.01）,the numbers of postoperative analgesic use,intestinal obstruction and wound infection of the observation group were significantly lower than the control group（P0.05 or 0.01）.Conclusion：Laparoscopic treatment,which is feasible and safe,is significantly superior to OA in acute appendicitis.

关 键 词：腹腔镜 急性阑尾炎 阑尾切除术 并发症 

分 类 号：R656.8[医药卫生—外科学]